5 Medical Biller Job Description Templates and Examples | Himalayas

5 Medical Biller Job Description Templates and Examples

Medical Billers are responsible for processing and managing healthcare claims to ensure accurate billing and timely payments. They work closely with healthcare providers, insurance companies, and patients to resolve billing issues, verify insurance coverage, and ensure compliance with regulations. Junior roles focus on data entry and claim submissions, while senior and managerial roles involve overseeing billing teams, handling complex claims, and improving billing processes.

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1. Junior Medical Biller Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a detail-oriented Junior Medical Biller to join our healthcare billing team at [$COMPANY_NAME]. In this role, you will assist in processing and managing medical billing tasks, ensuring accurate submissions and timely payments from insurance companies and patients. This position is ideal for candidates who are passionate about healthcare and are eager to learn and grow within the medical billing field.

Responsibilities

  • Assist in the preparation and submission of medical claims to insurance companies and government payers.
  • Verify patient insurance eligibility and benefits prior to services rendered.
  • Review and resolve billing discrepancies, denials, and rejections.
  • Maintain accurate patient records and billing information in the billing system.
  • Communicate effectively with healthcare providers, insurance companies, and patients to resolve billing inquiries.
  • Support senior billing staff in various administrative tasks and projects as needed.

Required and Preferred Qualifications

Required:

  • High school diploma or equivalent; certification in medical billing or coding is a plus.
  • Basic understanding of medical terminology and billing processes.
  • Strong attention to detail and organizational skills.
  • Excellent verbal and written communication skills.

Preferred:

  • Previous experience in medical billing or healthcare administration.
  • Familiarity with electronic health record (EHR) systems and billing software.
  • Ability to work independently and as part of a team.

Technical Skills and Relevant Technologies

  • Proficient in Microsoft Office Suite (Excel, Word, Outlook).
  • Experience with medical billing software (e.g., Epic, Cerner, Athenahealth).
  • Knowledge of ICD-10, CPT codes, and other billing regulations.

Soft Skills and Cultural Fit

  • Strong problem-solving abilities and a proactive approach to tasks.
  • Ability to handle sensitive information with confidentiality and professionalism.
  • A positive attitude and willingness to learn from more experienced colleagues.
  • Commitment to delivering high-quality work and exceptional customer service.

Benefits and Perks

We offer a competitive salary range of [$SALARY_RANGE] along with a comprehensive benefits package that includes:

  • Health, dental, and vision insurance.
  • 401(k) plan with company match.
  • Generous paid time off and holiday schedule.
  • Opportunities for professional development and training.
  • Flexible work hours and remote work options.

Equal Opportunity Statement

[$COMPANY_NAME] is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or any other characteristic protected by applicable law.

Location

This is a remote position within [$COMPANY_LOCATION].

We encourage applicants from diverse backgrounds to apply, even if you don’t meet all the listed qualifications. Your unique experiences and perspectives are valued at [$COMPANY_NAME].

2. Medical Biller Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a detail-oriented and experienced Medical Biller to join our healthcare administrative team at [$COMPANY_NAME]. In this hybrid role, you will be integral in ensuring the accuracy and timely processing of medical billing, working closely with healthcare providers to streamline billing processes and improve revenue cycle efficiency.

Responsibilities

  • Review and process medical claims for accuracy, completeness, and compliance with relevant regulations and payer requirements.
  • Collaborate with healthcare providers and insurance companies to resolve billing discrepancies and denials, ensuring prompt payment of claims.
  • Maintain up-to-date knowledge of coding and billing practices, including ICD-10, CPT, and HCPCS codes.
  • Generate and analyze reports on billing metrics, identifying trends and opportunities for process improvements.
  • Assist in the development and implementation of billing policies and procedures to enhance operational efficiency.
  • Provide excellent customer service to patients and healthcare providers regarding billing inquiries and issues.

Required and Preferred Qualifications

Required:

  • 2+ years of experience in medical billing or a related role within a healthcare setting.
  • Proficient knowledge of medical terminology, coding guidelines, and insurance policies.
  • Strong analytical skills with attention to detail, ensuring accuracy in billing processes.
  • Excellent communication skills, both verbal and written, with the ability to explain complex billing issues to various stakeholders.

Preferred:

  • Certification in medical billing and coding (e.g., CPC, CMC, or equivalent).
  • Experience with electronic health record (EHR) systems and billing software.
  • Familiarity with various insurance payers and understanding of reimbursement methodologies.

Technical Skills and Relevant Technologies

  • Proficiency in billing software and MS Office applications, particularly Excel for data analysis.
  • Experience with medical coding software and electronic claims submission tools.
  • Knowledge of database management and reporting tools.

Soft Skills and Cultural Fit

  • Strong organizational skills with the ability to manage multiple tasks and deadlines efficiently.
  • Proactive problem-solving abilities and a keen attention to detail.
  • A commitment to maintaining confidentiality and compliance with HIPAA regulations.
  • A collaborative team player with a positive attitude and a focus on continuous improvement.

Benefits and Perks

Annual salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Health, dental, and vision insurance
  • Retirement plans with company matching
  • Paid time off and holidays
  • Professional development opportunities
  • Flexible working hours in a hybrid work environment

Equal Opportunity Statement

[$COMPANY_NAME] is committed to fostering a diverse and inclusive workplace. We are an Equal Opportunity Employer and welcome applicants from all backgrounds, regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or any other characteristic protected by applicable law.

Location

This is a hybrid position requiring in-office work at least 3 days a week in [$COMPANY_LOCATION].

3. Senior Medical Biller Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a highly skilled Senior Medical Biller to join our dedicated healthcare finance team at [$COMPANY_NAME]. In this pivotal role, you will leverage your expertise in medical billing processes to ensure accurate billing, claims submission, and revenue cycle management. Your contributions will directly enhance our operational efficiency and patient satisfaction.

Responsibilities

  • Oversee the complete billing process, from accurate patient coding to claims submission and follow-up on denials.
  • Collaborate with healthcare providers to clarify billing information and resolve discrepancies.
  • Implement best practices in coding and billing to maximize revenue and minimize claim rejections.
  • Monitor accounts receivable and prepare detailed reports on billing metrics and trends.
  • Train and mentor junior billing staff, fostering a culture of excellence and continuous improvement.
  • Stay updated with industry regulations and changes in billing procedures to ensure compliance and accuracy.

Required and Preferred Qualifications

Required:

  • 5+ years of experience in medical billing, with a demonstrated track record of managing complex billing cycles.
  • Deep knowledge of medical coding systems (CPT, ICD-10) and regulatory requirements.
  • Proficient in using electronic health record (EHR) systems and billing software.
  • Strong analytical skills and attention to detail in reviewing billing accuracy.

Preferred:

  • Certification as a Certified Professional Biller (CPB) or equivalent credential.
  • Experience working with various insurance payers and familiarity with their billing requirements.
  • Background in revenue cycle management or healthcare finance.

Technical Skills and Relevant Technologies

  • Proficient in medical billing software (e.g., AdvancedMD, Kareo) and EHR systems.
  • Strong understanding of billing compliance tools and coding software.
  • Ability to analyze billing data using spreadsheet software (Excel, Google Sheets).

Soft Skills and Cultural Fit

  • Exceptional communication skills to facilitate collaboration with healthcare providers and insurance representatives.
  • Proactive problem-solving skills to address billing discrepancies and patient inquiries.
  • Detail-oriented mindset with a commitment to accuracy and quality.
  • A collaborative spirit with a focus on team success and continuous development.

Benefits and Perks

Annual salary range: [$SALARY_RANGE].

Additional benefits may include:

  • Comprehensive health insurance plans.
  • Retirement savings options with company match.
  • Generous paid time off (PTO) policy.
  • Professional development and training opportunities.
  • Wellness programs and employee assistance services.

Equal Opportunity Statement

[$COMPANY_NAME] is committed to fostering a diverse and inclusive workplace. We are an Equal Opportunity Employer and welcome applications from individuals of all backgrounds. Qualified applicants will receive consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Location

This role requires successful candidates to be based in-person at our office located in [$COMPANY_LOCATION].

We encourage all qualified applicants to apply, even if you don't meet every requirement. Your unique experiences and perspectives could be a great addition to our team!

4. Medical Billing Specialist Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team at [$COMPANY_NAME]. In this pivotal role, you will manage the billing process for our medical services, ensuring accuracy and compliance with relevant regulations while optimizing revenue cycles. You will collaborate closely with healthcare providers, insurance companies, and patients to facilitate timely payments and resolve discrepancies.

Responsibilities

  • Process and submit accurate medical claims to insurance companies and patients in a timely manner
  • Review and verify patient information for completeness and accuracy prior to billing
  • Address and resolve billing inquiries and disputes from patients and insurance providers
  • Monitor accounts receivable and follow up on outstanding claims and payments
  • Ensure compliance with healthcare regulations and billing policies
  • Generate and analyze billing reports to identify trends and areas for improvement
  • Collaborate with medical staff to ensure proper documentation for billing purposes
  • Stay updated on changes in billing regulations and coding practices

Required and Preferred Qualifications

Required:

  • 2+ years of experience in medical billing or a related field
  • Strong knowledge of medical coding (CPT, HCPCS, ICD-10)
  • Proficiency in billing software and electronic health records (EHR) systems
  • Excellent attention to detail and problem-solving skills
  • Ability to communicate effectively with medical staff, patients, and insurance representatives

Preferred:

  • Certification in medical billing and coding (e.g., CPC, CCA, CCS)
  • Experience with insurance verification and prior authorization processes
  • Familiarity with various insurance plans and reimbursement methodologies

Technical Skills and Relevant Technologies

  • Proficient in medical billing software and electronic health record (EHR) systems
  • Strong analytical skills to evaluate and improve billing processes
  • Experience with Microsoft Office Suite, particularly Excel for reporting purposes

Soft Skills and Cultural Fit

  • Strong organizational skills with the ability to manage multiple tasks effectively
  • Exceptional customer service skills and a patient-centric approach
  • Ability to work collaboratively in a hybrid work environment
  • Demonstrated ability to foster positive relationships with colleagues and clients

Benefits and Perks

Annual salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Flexible working hours and hybrid work arrangements
  • Health, dental, and vision insurance
  • 401(k) plan with company match
  • Generous paid time off and holidays
  • Professional development opportunities and continuing education reimbursement

Equal Opportunity Statement

[$COMPANY_NAME] is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sex, gender expression or identity, sexual orientation or any other basis protected by applicable law.

Location

This role requires successful candidates to be based in [$COMPANY_LOCATION] and work from the office at least 3 days a week.

We encourage applicants to apply even if they don't meet all the requirements. Your unique experiences might be just what we're looking for!

5. Medical Billing Manager Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a detail-oriented and strategic Medical Billing Manager to join our team. In this fully remote role, you will lead the billing department, ensuring the timely and accurate submission of claims, while optimizing processes to maximize revenue cycle efficiency. You will play a critical role in establishing best practices and mentoring billing staff to uphold compliance and operational excellence.

Responsibilities

  • Oversee the entire billing process, including claim submission, payment posting, and follow-up on outstanding claims
  • Develop and implement billing policies and procedures that enhance the efficiency and effectiveness of the billing department
  • Analyze billing and collections data to identify trends and opportunities for improvement
  • Ensure compliance with federal, state, and payer regulations, maintaining up-to-date knowledge of industry changes
  • Collaborate with healthcare providers and departments to resolve billing discrepancies and improve patient satisfaction
  • Lead, train, and mentor billing staff, providing guidance on best practices and professional development

Required Qualifications

  • 5+ years of experience in medical billing and coding, with at least 2 years in a supervisory or managerial role
  • Proficiency in medical billing software and electronic health record (EHR) systems
  • Strong knowledge of medical terminology, procedure codes (CPT, ICD-10), and payer guidelines
  • Exceptional analytical skills and attention to detail, with a proven ability to troubleshoot billing issues
  • Effective communication skills, both verbal and written, to engage with diverse stakeholders

Preferred Qualifications

  • Bachelor's degree in healthcare administration, finance, or a related field
  • Certification in medical billing and coding (e.g., CPC, CCS, or similar)
  • Experience with revenue cycle management and optimization strategies
  • Familiarity with healthcare compliance regulations, including HIPAA and Medicare guidelines

Technical Skills and Relevant Technologies

  • Proficient in using billing software such as AdvancedMD, Kareo, or similar platforms
  • Experience with data analytics tools to drive billing insights and reporting
  • Ability to leverage technology to streamline billing processes and improve accuracy

Soft Skills and Cultural Fit

  • Strong leadership skills to inspire and motivate a remote team
  • Proactive approach to problem-solving and process improvement
  • Ability to work independently while managing multiple priorities in a fast-paced environment
  • Commitment to continuous professional development and fostering a culture of accountability

Benefits and Perks

Salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Flexible work schedule and fully remote work environment
  • Health, dental, and vision insurance
  • 401(k) retirement plan with company match
  • Generous paid time off (PTO) policy
  • Professional development opportunities and ongoing training

Equal Opportunity Statement

[$COMPANY_NAME] is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sexual orientation, gender identity or expression, or any other basis protected by applicable law.

Location

This is a fully remote position.

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